►
Gums.► Very
characteristic blackish line on free border of gums, which was very well
marked around the insertion of the incisor and canine teeth of the lower
jaw, but less marked around the molars (third day), [7]. ► Gums
swollen and bleeding (third day), [7].
► Tongue.► Tongue furred, [6]. ► Tongue
and lips tumid, parched, and painful, [2].
► Cannot protrude his tongue very
well, [6]. ► General Mouth.[20.]►
Buccal mucous membrane red and tumefied (third day), [7]. ►
Inflammation of the mucous membrane of mouth (after a few days), [5]. ►
Strong mercurial fetor, [2]. ► Violent pain in the mouth and throat, [1]. ►
Saliva.► Ptyalism. [2]. ►
Salivation, [8]. ► Profuse salivation (third day), [3]. ►
Salivated for about three months, when he first began this occupation;
but his gums have not been tender, [6].
► Taste.►
Coppery taste in mouth, [2].

THROAT.

►
Sore throat, [8]. [30.]►
Fauces and internal mouth red and painful, [2]. ► A good
deal of dryness, soreness, and redness of the fauces, [2].

STOMACH.

►
Eructation and Hiccough.►
A good deal of eructation and frothy discharge from the mouth, with
occasional vomiting; the first portion of fluid voided from her stomach
after admission contained a red powder, which, after a few minutes,
subsided to the bottom of the vessel, afterwards vomited mucus, [2]. ►
Constant hiccough, [1]. ► Nausea and Vomiting.► Nausea (second day), [7]. ►
Vomiting, [1]; (after two hours), [5]. ►
Vomiting of glairy and tenacious matter (fourth day), [7]. ► Several
attacks of bilious vomiting, during the night, [7]. ►
Vomiting of bilious matter streaked with blood (third day), [7]. ►
Stomach.► Pain in the
stomach and vomiting, [8]. [40.]►
Extreme epigastric pains (second day), [7].
► Considerable pain on pressure over
the region of the stomach and abdomen generally, [2].

[50.]► Some pain on voiding urine, [2]. ►
Urine high-colored, sp. gr. 1025, contains no albumen or sugar; passed
involuntarily, [6]. ► Suppression of urine (second day), [7]. ►
Suppression of urine for five days, urea was found in the blood drawn
from the arm, [3]. ► During the suppression of urine large
quantities of water were taken and he had no symptoms of coma, [3].

► Considerable tremor of upper and lower
limbs, causing great difficulty in prehensile movements and in walking, [9]. ►
About twelve months ago he found he could not hold his hand steady
enough to shave himself, and he soon after lost complete control over
this limbs; by degrees he lost control over his muscles when standing or
walking about, and three or four months back, first began to have slight
twitchings when in bed; on admission to the hospital he managed to walk
pretty well with a little assistance; but when standing could not
control his limbs, which trembled considerably, and even when in bed
they had the same tremulous motion; spasms more violent towards evening,
[6]. ►
Feels sore all over his limbs where they come in contact with the bed;
they look quite red and inflamed, [6].

INFERIOR EXTREMITIES.

► Suffers much from cramps in lower
extremities, [2].

GENERAL SYMPTOMS.

►
Objective.► Naturally of
a robust constitution, his complexion, the discoloration of his mucous
surfaces, and the flabbiness of his tissues, indicated a decided
cachectic condition, [9]. ► Subsultus tendinum, so that the muscles
seemed to jump under the skin like a mouse under a cloth, [4]. ► Tremor
began after he had followed his trade with apparent impunity for seven
years, [9]. [70.]►
Tremors, so that they were no longer able to stand, walk, nor feed
themselves, [4]. ► Some general weakness, the first three
years, [6]. ►
Extreme weakness (sixth day), [7].
► Very much exhausted (after four
years), [6]. ►
State of prostration, [7]. ► Frequent fainting (second day), [7]. ►
Subjective.► General
indisposition (after two hours), [5].
► Pain (after two hours), [5]. ►
Excessive pains, so that he rolled about the ground and called for a
knife to kill himself, [1].

SKIN.

►
On left side of chest, and in a space of the size of two hands, a large
eschar of a brownish-red color swelled and projecting above the healthy
parts. Behind, and on a level with the left scapula, was a second eschar
about the size of the hand; the skin, acutely inflamed, was of a
bright-red color, had an ecchymosed appearance, and scattered over it
were yellow-brown patches; from this downwards towards the right haunch
proceeded a similar tract about half an inch broad, occasioned by a
portion of the liquid having flowed down below the limit of the part
rubbed, [7].